Medical insurance faces insurance frauds widespread under the fee expenditure model of the third one. Diversified behavior bodies and characteristics of elusive complexity both of commercial and social medical insurance. The cognitive power and the ut...
Medical insurance faces insurance frauds widespread under the fee expenditure model of the third one. Diversified behavior bodies and characteristics of elusive complexity both of commercial and social medical insurance. The cognitive power and the utility bias make the inefficient self-immunization to medical insurance fraud from the opinions of bounded rationality and bounded willpower and bounded self-interest of Behavioral Economics, so that must to strengthen the countermeasures to insurance frauds by efficient mechanism of debiasing by system.